Background to this inspection
Updated
24 March 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
We carried out this comprehensive inspection on 31 January 2017. The inspection was unannounced and was carried out by one inspector.
Before the inspection we reviewed information we held about the service. This included previous inspection reports and notifications. A notification is information about important events, which the service is required to send us by law.
During the inspection we spoke with one person, one care staff, one senior care staff and the registered manager. We reviewed three care plans, three people’s risk assessments, three Medicine Administration Recording Sheets (MARS), two health action plans, two staff personnel files, fire safety records, audits, maintenance reports and other records related to the management of the service. After the inspection we spoke with a pharmacist.
Updated
24 March 2017
This inspection took place on 31 January 2017 and was unannounced. Choice Support – 6 Bowley Close is a small residential care home registered to provide care for up to four people who have a learning disability. The service is a bungalow with easy wheelchair access throughout. There were three people living at the service at the time of our inspection.
At the last inspection, on 10 July 2014 the service was rated Good. At this inspection we found the service remained Good.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People told us they felt safe living at 6 Bowley Close. Staff knew how to protect people from harm and abuse. Staff received on-going safeguarding training and were aware of the correct procedures in reporting suspected abuse. Risks to people’s health, safety and wellbeing was managed safely.
People told us and records confirmed, there were sufficient numbers of staff to meet their needs.
People’s medicines were managed safely and in line with good practice. Staff were aware of the safe management of medicines and how to report any errors.
Staff had a good understanding of their roles and responsibilities in relation to the Mental Capacity Acto 2005 (MCA). The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that as far as possible people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible.
People were encouraged to make decisions and choices about their care and had their choices respected. People’s consent to care and treatment was sought prior to care being delivered.
People were encouraged to maintain a healthy nutritionally balanced diet and had access to sufficient amounts to eat and drink, at times that suited them. People’s health care needs were monitored and maintained; people had access to health care services as and when needed.
People continued to receive care and support from staff that are kind, caring and compassionate. People were encouraged to maintain relationships with people that were important to them. Staff treated people with respect and valued them.
Care plans were person centred and tailored to people’s individual needs. People were encouraged to be involved in the development of their care plans, which were updated regularly to reflect people’s changing needs.
People were encouraged to participate in a wide range of activities of their choice, both in-house and in the local community.
The service had a complaints procedure in place and people felt confident in raising concerns or complaints to staff and the registered manager. Complaints formats were available in different formats in order to ensure they were accessible to everyone.
The service carried out regular audits of the service and areas of improvement identified were actioned in a timely manner. Feedback of the service provision was sought and listened to.